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__ . _.. _. .. ,:.. . __ .� �" : , ....�.��,..� .�::w �.�;.:�.. �.�.�.�,.-�...� � -� _ WORKERSCOKIF�BN"SA"Yf�KIY�r��A�'A�"t�:�'��"� �snss>a � '", '. ` . ' , T heretiy affirm tha[ [ ha e a cert fic.ate of consent to se(f _�,cE,e>(x eol A P!a L i C AT i�CS� ���'R��F�LU I��I�B 1 N�� �'�R IV��T asure dr a ce t ficate ot Workers Compencation Tnsurance,or , ' �� . - . � ���� �'" '��' � a cert�fied copy thereof,(S�c.3 00,Lab.C.) � � � �� _� µ'� ` . /�,�j�58� �k�y�8��i'���� COUNTY OF LOS ANGEL'ES BUILDtI�G AND 5dFE7�� ,_ � , PoticyNo.� ;. ComPany �MWYuNL.� ... ..... ..... . .._.. - „_,,,.. .. .._.. . .,.. - ' I , .. _..: . . _ ..�., _ .... �..� .... .. ._.. . .. �..... W � ...- . .. _ : - ..,�.�.y _ �Certitie3 copy is hereby furn�shed. .. FOR APPLIC`<aNT"Td F1L`L IIIY TPRIN*T b�i 7YP�E1 BUIL�ING� /1 )� . . . ..� . .. ,�.. ... . ... .„,.. . •. � ADDRESS� �C.4r�Z N, c./EL ��Q�- � Certtfted cop}'�is filed with[he county huilding inspectiOn � NUMBER FIX7URE O`R,I'T�fJI `.. � FEE �" `"' � �- � depariment. . �. LOCALITY � G� � � WATEi?CLOSET - (7 L� �fA��r� u��� Date � _ADPficant .. .. .. / .. .�, . _ . .. . .' �, , . . • .:: . , .':� ���� BATH YU6 ._ . . _ � . L7 Gv CROSS ST.�� !,.�Lf/7�St�T- � d�K...-.�//IIf(7 - � CGRTIFICAT'E"OC�'�'.X�'1C{P7�`YO�I,F�h��OH�t�/�R�TZ�RS'�s•-�:, . . . .., . . ... . . . . . � � �; COtif�PE1r5�T10?I'f1�SURANC`E.` �:.. . ( SHOWER� ..,. . . . .... ' /-�� �;I OWNER fI/=')_J/�.yd Gr� . .. .._..... ,-..; ,.'. , ..j ,;:., ::, :, y C_.... � . (This seCtlOn,need no[b¢ Comple[ed lf the Work ifIVOlVed yL- LAVATORV , � ; �t G) qDDRESS �-7�� � .... . ..._.. ... ..._�.a,.._„. �, by the permit is for o�e hundied dotlazs (SI00)or IessJ SINK � ��ff�� -' '�` � ��� i � CITV TEL NO. r^� . I certify[hat m the perfotmgrtce of the y�ork for�vhich this DISHWASHER ���� ' � permit�is issued,I shall not employ any person in anv manner � , � CONTqACTOR �����/�R Gp�fr"� .�jtf' � 6o as�to becurne sub'ect to the�t'orkers'Com ensation�Laws. � ' '"" I p+ /'' �� � �����'"v-�"�"���""4' 'S J ., . . p C�OTHES WASHER'� � y� � .. :.:.. , .. . . .. .. . .. AODfiESS C/O C—�/i`���c.� Q Date Apphcent . . . . . i .. . .._..,... _. „ .-. , ,,,,,..,,:.„., ,,,,..-� SWIMMING P601'�RECEPTOR '� � CITY �-�/ TEL.NO.� p b , NOTICE TO A�PPL�`C'4"�Cl'7�f;';�ter making this Certificate of "� ' � //,lj'/��C'/.-�/� _Cp.il Q�/ Exemp[ion, you should hecome subject fo the ��Yorkers' LAVJN�SPRIhKCEIi�SV5YE14i � � � - : � � ���� �- Compensa[ion provisions of the Labor.Cqde,you must forth- � ' STATE 2 .. LIC. � Li with comp7y wi[h such provisions or this permiY shall be WATER HEATBR � � LICENSE�NO ✓ ���� CIASS .� .___,__ � ' deemed�re uked. � � � � GAS SVSTEM OU7LET5 ,��,G;.�) DISTRICTNO:��� PROC SSED BY -�I,ICFNSED�"CO'NTS�'A`C'.I'O"Y��iSF:'CL�',��0�`''�`�'`���`� OUTLE�TSOVER - �- ' �� ��L.I I hereby affvm tha{�I am licenseJ under provisions of Chapter� 5 PER�SYSTEIW �„__ , , � ' � �"- � � 9(commenemg with See(ion 7000}�of-DiviSion 3 oP���fAi,Busi-� -" � ' - FINAL j ............ ... . �ness and Professiorts�Code,and���my"license�is m fulCfoice and��" .. D,a7E :.�Q� �' �� VALID�ATIO�IV . effect. y ,. � � �*�' � �- � FINAL � License Number ���'/� -� Lic.Cl� s.�� /`� �.-�- 6Y L^—� �/_c.�R /�rv6S�e. 'q c�-. Contraccor Uate � � �� � I�am exempt Fcom the licensing requirements as I am a� PIBn ChCCk fee � _„ . . ._.„ , �, ' licensed architect or a registered pr�fessional�engineer� � ��^� -� ... . �� .�:... .._ _ .. , , . .... PLUMBING�PERMIT IS'SUING F"EE$����+ �- � f' . acting in my professional capacity (Se�tion"7�65L Bus._ -�� .__, �.. w . ..,.. , � '.iness and Professions Code). TOTAL FEE ✓��'- 5!� . _ . ...., iie.or Reg.No. � ��� UaFe � �-. Plan check applicant ��-HOIvIC ORTIER BVILDT'.R DCCLARATCON ` "' '�" Name � _..... . _. . _ ,�., �i 5 9.3 F� . .,; ..': ;,,.. -�,�.. ::;� .:�.: Address . .. . . . . . I hereby aff'vm that I am�ezempt from the Concractor's . �..�....._....-...., ._„ -,., . _�� ���� � m a rj License S.aw for the f�llowing��reason (Secr'on.7031.5, Busi- City � � Tel No.,.,u � � � .. . .,__,.. . ,::��:: ness and�Professions Code): . """"'�' � "" - ���"'"�� "" . . . I � t3c,5u � I,es owner of the property,.arm ezclusively contracting � . . � � � -� . � with licensed contractors !o construct._.Lhe . project � � .�o e�j�,�j'�� � � (Sec�io�,7044,Business and Professions Code). . ,�� �, �- � �� � � �����' --� �� �- � . .. "::. '.... �.�.... � ...,.n..e.�.+....:....�;�,..,a�..�._��a.�:,,.r....,sa..:�.�..:,�a.�:..,.�w.�r...�.�.�w�..•-..,.:ro„m �-w��,.ti,.ww-�....o.-:.....,. ..u..�,...w;...+,..-.,,..,.,..��...:�,.� .�w,�.�. s'.� . �.: CON`STRl7CT70N'CF,N"�"il�.��NC'�"'� . . .. . ... .. .... �� n Q C j H� ,: .. . . .. .._. .. . . . . . ..... . .. .. ,. . _ . . .. . . . 1�-herebv affirin that there is a cdnstrvetion lending agency��" ' - � - . � . � � � � � � for [he,performance of the woek fot a•hich this permit is . .. � issuzd(Sec.3097,Civ.C•)�.� . � � � - - � � Lender'sName � .,,.,..,.,..,,.. ��,....,.:,..,.. ....,.....«:,. ..�,,,�:.........: .... ..��. .....a..�,-�.,..�...� ».,,,,..,,,.,.. ,..�.,,...y. ...,;,.«x,..,»., �„.>., .r,�a.... ...., . Lender'sAddress� r�. ' . .. . : ....� .-. n..,.:.,;....,�,. » �,.� .,,,..,...,..V.: ...,.<.: , .,. . . . ... , .. . .' ...., ..«,. . . ,,.. I certifi�thal [�hzbe rexd ths apphcxtion antl stxte�thdt'the � �� � . . .,� . � � � � � � � . , ,..... _ _.. .... . .._. ._. � ....:.. abo��e information is correct.�]agree to comph�with atl Courtty � SEL REVERSE�FOR L7��P'L',AN:ATORY I,ANGUAGE"��-� �� �� -� � � �� � ordinances and 5[ate laws regul;�[ing Plumbing, and�heieby - � a [horiie representat es of this County to enter�upon the . � � � - abo��e m ioned propert torinspec�ion purposes. � / � � C����C�7��.i�`�'�..__z/ /g/�'� _ _ _ _ � ';Signature of Permittee . Dare�, —S . _ , � � � ' ' . � - ��-�� �� � � . ' ��� � - . � ., ,. ;�a.u>,��.u.�,:,���.... u,r� .�� �y�y, ,.� ._�'�'� y�, �kr =da"..Lh+i�s�-'t�`„'.'� ad�.,:-",si�,:. �J�C � :`�z .#�'�^ '- _ ,.. ... _,�4,,...��.,,,. .,, , .. - ---- -� �m„� + :--�:-- �, ��lSl'�i�o�� 10TES €'i'S+1'�1'��2 BiJIE,�E�`e DE�$:�4IFATtf3Iv •APPROVA�S �ATE IIVSPEC�T !{�SiGYVATJ� .�a--M-.----, ^•, -- - ...�'"'.`"" ., . . ,:-' ,.. �.: c!m ,,,�s�z � ,:.,.r �r� ..�s. :..:. UNGEFISLABW R 2." - � � ��,,.� , �g h oy af:�� ha,7 an romp;`xo^i the Cortractor`s�. h`Ol1GH PLUM8ING .. � '_ _ . . .�.: .. .�—. ",.: ��- '�'� .`.� »CCvRse I,2W. 6�� 7�e k�S1100W t1L'IeaSf.n��SEC/for 7d��S, --_.—._... � . ...�....... :..... . . . . :... ;,.... . � . . ����� � -������•�� � �� -����� $usrr.e..s ana .t'r'ofess:ons„Cade/:. A�ay ctty.cr.courty GAS�PIPI�NG ......; . ..;..., .::. . . . . . . . . . . _:_. _ - ':" _" _ ,.... . .:.__ .......,..:...,. .......:..�i... ...i:.�.,:.. �.,;: . ....�_'.'._W]i:C{: TB(jiJ!P23 u IJPP'iMYi! t.,^ C:=YST!'dCt, ��tC'/. ?i79(7Y0:'C'.. ' ... .. . ... ..... � GAS VENT �.� � � -". �.-..:' �.,�,__� .. . . . . � ' lJPAIOrlS%t.OY YErJ.?EP Q11V.Shc'YE^.YGYQ.�Y30P'O:?S I.SilQP3^-fl,- .__.---.. ___.�: _— . ,.-.._.._...._.._. :•._.—.- ,. .._, � (he appdicand ivr such Perm..�r rr� fi:e ¢ � .�— ......._ " .... ,-. HOT WATEIi H��ATER :. . . ... -. .. .. . , . . . alsa xeqEt'res ne c r:re sefl (3urslier to fhe �LUMBItJ fIXTURE� .. � '� .� ....__ •....•...T ._.E � ,,_... �•yr 534P2AEn Yn�_. . r9 . + . .' , � �� -pro�s�s�s of he £'�r*rartors f�cens Law•(Cnaprer 9 - —� r � . �/� � cas res ,a G--{i�-' _ UTILITY CO NOTIFI�D—�� _� ,., � . � � . ..� _.: w „G>.� a�....n .conrren r�g �r S c'o� 'I`(JO)-of r�-rion.3ecer�s t _'LCJ�-L i'��"W��� .. . ... . . 3u Q�Prn asis�ot 3Pre IeKrdQex m.Cewr �r�.�y' . c nec t �es .. � __.� s�erefscfn �E h .. .. . . ... .... .. , .. ,�s }� -.:-•�-�.-"^-^'• - � ..�.--� . .. ': . .-':, �"`�' �'� -''�"9iol�af cri�o�Secttort 7G3 4 i�y.l+ry app«_ani fvr n Aer ai; FINAL... , �' L9"'� Q3G f� . . � . ' . .� ' autjzcts rr�e app.[..r�i�a t�a c:vi."penp+ry��r:na-rnar2 tnan — �'. ' .— —.�' ..".. . .. .' , . — ` rnd dnilars j'SG . . ,. �-. . —. . ...-... ...,..�..� ._.._......._..�, , :�„ .._.�;.,. . ._...rive hund_� ,�. QJ.. -_ � . . ::. . . _.__ .. ......,. ,.,..,;�:,,.�.�_�...��.... �i.. - . .. . . � . �'i,as..owiieS of�(i�t,pruper?.y:��e'ifl��tlfe a�o,k,-and � INDUSTRIAL . . ..-,. ', . � � -. ....._,_. ....,......_...._.. �m....» - � ��-.,...cK,»:�.,:.;: .... . . VIASTE AFP I�OV AL - � � � ' """"` "B �'"'�^"""'4h^sCtuCtuie is ilo€i�tcided ax ofie[e3:oc 32le.� �.�. _ -. ... . .._,..,.: � '� ..,,.,,�;.:.. ':;;�., , ., - .. . .... . e d s r,d Pr�fessi s CUde: The C �e , . . .. . ._ . . _...__�... ...... .-. . �Se 7l.9 $u>er.es. c nn o . : � � — ..., .., .....:. ,,., �,:z , .a;., . .., . ..., . _ ... . . , • � . °.- '.•.- '�.::'�-'t'racr�,s"-:icense Law�dass r,ot cppl��re v;z e�+v�er oj � ' �... .. .. �. . `.. . . .� .�. �.. �.. . � � .. . .. � �� m tivhe �zi7ds�cr rsrcroues:l.er�on,cnd wtio does �; ... .. .. ,.:.. ., �. . �. � �-- -- --- � __ � n y .i, . . �. .. . .� . �:,.:., ..,.:�... . ..:.. . ..:..n:,t :•`a� _ prooided thiit srch ir,^proGeme;tea � . s�c etiork hi!s:s��i . . . . . . . . .. . � a.e xot tnee,t�fe¢Err�ofCsred�far sale,-rf, nouecer, the � i . _��.' . . .'�.._� .. � �`�_ � . ..'. . ..,....,_._..�. .�_..�_._.,.,.�;�.,.� .- ... .u....,...�-�r.�...,.,..t�;� : .. . . . . - �`-..:,� ���fititld.�5.cr trriprbsement�is�so?d u��h'n..oae year.of _ . , . . . � . . � . . . �_ . ... � .�� . . �, . �. . . �`, ' campiat'on, tl_< aw:r.�b:�7trter.wil' have rhe ou;d2r. �. . ��.' � . ..._....—. . ..:...:... ...�.-.;,�.. ,..,M:....... . ,....:.�,:;,. ...:.:�., ...:,,. �aa�iie��dfd ,iot �uiid or irnRroi>e jnr rhe � _ � of propehS . . . . . . . . . , , ._ . . . . - , . . . - ._` . � , � � � � � .. ._ . .. . . .. . . _.. .. .... .. � . . - � pu,•'�osz oj�s¢�e./ . ., .. . . , .-, . . .,..._. _..,......,._ .:..�;.,.,. .�w.�.:,�..,.x .:;a� �s..�...��ae.�w�.es. 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